Active NPI
Stuart Kolber, OPTOMOTRIST
- Optometrist
- Lawrenceville, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 270A00376600
- Practice address
- 2495 Route 1
Ste. 8
Lawrenceville, NJ 08648 - Phone
- (609) 882-2888
- NPI assigned
- May 11, 2006
- Last updated
- Jan 5, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 270A00376600 | NJ | Primary |
Addresses
Primary practice location
2495 Route 1
Ste. 8
Lawrenceville, NJ 08648
Mailing address
2495 Route 1
Ste. 8
Lawrenceville, NJ 08648
Phone (609) 882-2888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2255201K | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2495 Route 1
Suite 8
Lawrenceville, NJ 08648-4099
Phone (609) 882-2888
2495 RT
1 Suite 8
Lawrenceville, NJ 08648-4099
Allied Vision Serv PA
2495 RT 1 Suite 8
Lawrenceville, NJ 08648-4099
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 270A00376600 | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Vision Services, PA | Optometrist | Current | Accepting new patients |
| Total Eye Care Centers, PC | Past | Accepting new patients | |
| Mercer Vision Associates | Optometrist | Past | Accepting new patients |
| Jason Lam O.D., M.B.a., Inc. | Optometrist | Past | Accepting new patients |
Locations
2495 US Highway 1
Ste 8
Lawrenceville, NJ 08648
Phone (609) 882-2888
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Lawrenceville, NJ
- NPI 1427150564
-
- Optometrist
- Trenton, NJ
- NPI 1255439519
-
- Eyewear Supplier
- Robbinsville, NJ
- NPI 1174339907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262649600000",
"number": "1750331799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2495 ROUTE 1",
"address_2": "STE. 8",
"city": "LAWRENCEVILLE",
"state": "NJ",
"postal_code": "08648",
"telephone_number": "609-882-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2495 ROUTE 1",
"address_2": "STE. 8",
"city": "LAWRENCEVILLE",
"state": "NJ",
"postal_code": "08648",
"telephone_number": "609-882-2888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLBER",
"first_name": "STUART",
"name_prefix": "Dr.",
"credential": "OPTOMOTRIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2010-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "270A00376600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2255201K",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.